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Home My WebLink AboutX2022-1723 - Permits„ City of Newport Beach - Building Division "X2022-1723' COMB Permit: X2022-1723 _ 100 Civic Center Drive, Newport Beach, CA 92660 Project No z_, n, Permit Counter Phone (949)644-3288 3: zy Inspection Requests Phone (949)644-3255 r,+zar.„um' - Combination Type - MFP Issued Date : 06/21/2022 0 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1619 W BALBOA BLVD NB Description: MFR REMOVE SIDING, RESHEATH WIHARDIE PLANK Legal Desc.: NEWPORT BEACH SEC B BLK 16 LOT 20 Owner: RIDGEWAY KAY Contractor: SIDING MILLWORK INC Architect: Address: 1508 CUMBERLAND LN Address: 36105 PANORAMA DR Address: s-`"•':/'®,vim NEWPORT BEACH CA 92663 YUCAIPA CA 92399 Phone: 9491422-3931 Phone: 949-633-9036 Phone: State Lic: �S Applicant: SIDING MILLWORK INC Con State Lic: 1034616 Engineer: Address: 36105 PANORAMA DR Lic Expire: 01/3112024 Address: YUCAIPA CA 92399 Bus Lic: ST30066901 f Phone: 949-633-9036 Lic Exp Date: 0413012023 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: NORGUARD INS Address: Occupancy Group: R3/U Policy No: SIWC253845 Added /New sq.ft. Bldg: 0 Expire: 12/13/2022 Phone: Added/New sq. ft. Garage: 0 °°HH No of Stories: 2 Building Setbacks Rear: / Special Conditions: a No of Units : 2 Front: / Bldg Height: 0 Left: / H • 9 e° Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12000.00 ••° a ° Building Permit Fee: $280.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: - $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: ; $0.0. Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0-M ° Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee .+ a •' Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $281.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $281.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Iv n 3 of the Business and Profes nsA ode, d my I > II ce and effect. License Class License No Date �/ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: Oa have and`vyiU.,�aintain a certificate of consent toself-insure for workers' compensation, issued by the Director�of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rlrpence oft"yvprk forwhich this permitisissued. Policy No. Eve and will rR'rrite" workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol at9 carrier and policy number are? .. Policy Number Expiration Date NSmP',€Anenr ` : ii ..Phone# 11 celtify that, jr; W.Arformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ia{, If Ishould become -subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % ig-atylrieof Applicant Date 9 'ebyaffirm urf%r ` I of perjury t he s a nst c n a enc for the performance of the work f P 1 ry � Y far' s Name • ✓ \ Lender's Address iy" ignature bee ,.I certi y to each of the following: �� I am the pro owner or authorized to act on the property owner's behalf. I have read this application and the information I have prove ed is correct. I agree to comply with all applicable city and count din ces and state laws rQla' 'b ing construction. I authorize representatives of this city or county to r e above== ntified p y spe tion purposes. signature of Property Owner or Authorized Agent - L'! I— , '/ L/ Trint/Property owner ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SU ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EVPA PERMIT EXTENDED QMD PERMITFINAL �,'�� BEST�SFTLII OTAPPLI BL TO CERTIFICATE OF PROPOSEDOOCCUPANCYISSUED SIGNATUR�� / this permit is issued (Section 3097, Civil Code). IU.7x41LLYI